Notes on the modern treatment of fractures . called attention to the fracture,it is sometimes denominated Smiths fracture of the usual fracture with backward displacement of the lowerfragment was especially studied many years ago by Colles,and is often to this day called Colless fracture. The injurywhich you see in this boy is accordingly sometimes called a re-versed Colless fracture. It is interesting to remember thatthe authors whose names have been attached to these injurieswere both Irish surgeons living in Dublin. 146 THE MODERN TREATMENT OF FRACTURES. There ought to be very li
Notes on the modern treatment of fractures . called attention to the fracture,it is sometimes denominated Smiths fracture of the usual fracture with backward displacement of the lowerfragment was especially studied many years ago by Colles,and is often to this day called Colless fracture. The injurywhich you see in this boy is accordingly sometimes called a re-versed Colless fracture. It is interesting to remember thatthe authors whose names have been attached to these injurieswere both Irish surgeons living in Dublin. 146 THE MODERN TREATMENT OF FRACTURES. There ought to be very little difficulty, I think, in recog-nizing the injury under consideration if the surgeon only re-members that it is a fracture of possible occurrence. Thegreat frequency of the fracture with backward displacementof the lower fragment gives rise to careless diagnosis wheninjuries of the radius near the wrist-joint occur. The de-formity is cpiite different, and careful inspection ought tomake the nature of the accident apparent (Fig. 25). The. Fig. 35. Skiagraph showing bend at lower end of radius due to unreduced fracturewith forward displacement. The prominence of the head of the ulnaat the back of the wrist is well shown. ordinary fracture of the radial base occurs from blow- inwhich the force of the blow is received on the palm of thehand. It is probably that the opposite displacement is dueto the application of force upon the back of the hand tend-ing to strongly flex the wrist. One of the cases of the injurywhich I have seen occurred in a man who fell while playingfootball with his hand and wrist doubled under him in a RADIAL FRACTURE DISPLACED FORWARDS. 147 position of flexion. In the other cases it was not perfectlyclear in what manner the force had been applied. The late Mr. Callender of London reported a case someyears ago in which fracture took place from galvanic stimula-tion of the muscles. In this instance the bone was apparentlybroken by forced flexion, clue to the
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